ATI RN
Custom ATI Maternity Exam 2 Questions
Extract:
Client who is 12 hr postpartum following a spontaneous vaginal delivery
Question 1 of 5
A nurse is collecting data from a client who is 12 hr postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the client's abdomen?
Correct Answer: At 12 hours postpartum, the uterine fundus is expected to be at or slightly below the umbilicus, indicating normal uterine involution. Deviations may suggest complications like a full bladder or uterine atony.
Rationale:
Extract:
Postpartum client with large amount of lochia rubra with several clots on perineal pad
Question 2 of 5
A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first?
Correct Answer: Checking the fundus is the priority to assess for uterine atony, a common cause of excessive lochia and clots. Massaging a soft fundus can promote contraction and reduce bleeding.
Rationale:
Extract:
Client in the first stage of labor with umbilical cord protruding from the vagina
Question 3 of 5
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct Answer: Placing the client in a knee-chest or Trendelenburg position is the priority to relieve pressure on the prolapsed cord, restoring blood flow to the fetus and preventing hypoxia. This addresses the immediate risk of cord compression.
Rationale:
Extract:
Client who is pregnant receiving dinoprostone gel
Question 4 of 5
A nurse is preparing to administer dinoprostone gel to a client who is pregnant. The client asks the nurse about the purpose of the medication. Which of the following responses should the nurse make?
Correct Answer: Dinoprostone is a prostaglandin used for cervical ripening, softening the cervix to prepare for labor induction. It does not primarily increase contraction frequency, reduce infection risk, or alleviate labor pain.
Rationale:
Extract:
Client with unrelieved episiotomy pain 8 hr following delivery
Question 5 of 5
A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?
Correct Answer: Applying an ice pack reduces swelling and pain at the episiotomy site within the first 24-48 hours. Warm sitz baths or heat are not recommended until later to avoid increasing swelling.
Rationale: